Bentonville Public Schools

1. Bentonville Public Schools Bloodborne Pathogen Training Last Updated: 04-10-2012

2. WHY ARE WE HERE? • OSHA Bloodborne Pathogen • Standard 29 CFR 1910.1030 • Anyone whose job requires exposure to blood borne pathogens is required to complete training • Employees who are trained in CPR and first aid • The more you know, the better you will perform in real life situations!

3. What is a Bloodborne Pathogen? Infectious microorganisms in human blood that can cause disease in humans

4. Common Bloodborne Pathogen Diseases • Human Immunodeficiency Virus (HIV) • Hepatitis B (HBV) • Hepatitis C (HCV) • Other bloodborne pathogens: syphilis, malaria, brucellosis, and others.

5. Human Immunodeficiency Virus (HIV) • HIV is the virus that leads to the development of AIDS (acquired immune deficiency syndrome) • HIV depletes the immune system by destroying specific blood cells that help the body fight disease • HIV does not survive long outside the body and cannot reproduce outside the human body • No threat of contracting HIV through casual contact Source: Centers for Disease Control and Prevention (2011) Retrieved from http://www.cdc.gov/hiv/topics/basic/index.htm

6. 800,000 – 1.4 million persons in the U.S. are chronically infected Transmitted through activities that involve skin or mucosal contact with blood or body fluids HBV can survive for at least 7 days outside the body Incubation period within which symptoms appear, average 90 days after exposure, and can last up to 6 months Symptoms vary, may be absent, but can include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting May lead to chronic liver damage, liver cancer, and even death Vaccination available since 1982 HBV vaccine given as a series of 3 shots over a 6-month period Hepatitis B (HBV)Source: Centers for Disease Control and Prevention, Retrieved fromhttp://www.cdc.gov/hepatitis/HBV/index.htm

7. Hepatitis C (HCV)Resource: Centers for Disease Control and Prevention, Retrieved from http://www.cdc.gov/hepatitis/C/cFAQ.htm#overview • Hepatitis C is a common and chronic, bloodborne infection in the United States • Spread when blood from infected person enters the body of another person not infected • Many people have NO symptoms • Symptoms may include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting – • May lead to chronic liver disease, cirrhosis,liver cancer and even death

8. Blood Saliva Vomit Urine Feces Semen or vaginal secretions Skin tissue, cell cultures Any other body fluid Potentially Infectious Body Fluids

9. Transmission Potential • Contact with another person’s blood or body fluid that may be infectious • Mucous membranes: eyes, mouth, nose • Non-intact (broken) skin • Contaminated sharps/needles

10. Your Exposure Potential • Administering first aid • Administering CPR • Post-accident clean-up • Janitorial work • Handling of any waste products

11. Universal Precautions • Assuming all contact is potentially infectious • Use of proper personal protective equipment • Treat all blood and body fluids as contaminated • Proper clean-up and decontamination • Disposal of all contaminated material in the proper manner

12. Personal Protective Equipment (PPE) • Anything that is used to protect a person from exposure to blood or body fluids • Examples: gloves (preferably latex free), goggles, face shields, CPR mouth barriers, aprons, and masks

13. PPE Rules to Remember • Always check PPE for defects or tears before using • If PPE becomes torn or defective, remove and replace • Remove PPE before leaving a contaminated area, disposing of safely in an appropriate container or bag • Do not reuse disposable equipment

14. Decontamination • When cleaning up surfaces use a 1:10 solution of bleach and water (1 part bleach to 9 parts water) to clean and decontaminate surfaces and equipment. Mix fresh daily! • Dispose of all disposable wipes used in red biohazard bag. • PPE’s that has been soaked with blood/body fluids should be removed and disposed of in red biohazard bag.

15. Hand Washing • Wash hands with soap and water immediately after removing PPE • A hand sanitizer can be used but wash with soap and water as soon as possible. • See “Handwashing – Clean Hands Save Lives” @ http://www.cdc.gov/handwashing/

16. Regulated Medical Waste • Liquid or semi-liquid blood or other potentially infectious material(OPIM) • Contaminated sharps (needles)

17. Signs & Labels • Labels must include the universal biohazard symbol, and the term Biohazard must be attached to: • containers of regulated biohazard waste • i.e. sharps containers

18. Exposure Incident • A specific incident of contact with potentially infectious bodily fluid or blood • If there are no infiltrations of mucous membranes or open skin surfaces, it is not considered an occupational exposure • Immediately report all accidents involving blood or body fluids to School Nurse • Post-exposure medical evaluations are offered

19. Post-exposure Evaluation • Confidential medical evaluation • Document route of exposure • Identify source individual • Test source individuals blood (with individual’s consent) • Provide results to exposed employee

20. Hepatitis B Vaccination • Strongly endorsed by medical communities • Offered to all potentially exposed employees • Provided at no cost to employees • Declination form • Usually given in 3 dose series over 6 months

21. Recordkeeping Medical records include: • Hepatitis B vaccination status • Post-exposure evaluation and follow-up results Training records include: • Training dates • Contents of the training • Signature of trainer and trainee

22. Bloodborne pathogen rules are in place for your health and safety. Failure to follow them is a risk that does not need to be taken. Bentonville Public Schools - Health Services Updated 4-2012 ZM